BLUETAIL MEDICAL GROUP, LLC.
NPI 1285986398
Orthopaedic Surgery - Sports Medicine in Chesterfield, MO
NPI Status: Active since October 12, 2012
Contact Information
13353 OLIVE BLVD
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 778-2900
Fax: (636) 778-2828
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 10D2202148
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-24-2026
About BLUETAIL MEDICAL GROUP, LLC.
This page provides the complete NPI Profile along with additional information for Bluetail Medical Group, Llc., a provider established in Chesterfield, Missouri operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1285986398 assigned on October 2012. The practitioner's primary taxonomy code is 207XX0005X with license number LC1262307 (MO). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Joe O'neil (Practice Administrator)
- NPI
- 1285986398
- Provider Name
- BLUETAIL MEDICAL GROUP, LLC.
- Entity Type
- Organization
- Location Address
- 13353 OLIVE BLVD CHESTERFIELD, MO 63017
- Location Phone
- (636) 778-2900
- Location Fax
- (636) 778-2828
- Mailing Address
- PO BOX 11665 BELFAST, ME 04915
- Mailing Phone
- (636) 778-2900
- Mailing Fax
- (636) 778-2828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2012
- Last Update Date
- 11-17-2025
- Code Navigator
Location Map
Secondary Locations
- 101 Hodencamp Rd Ste 102
Thousand Oaks, CA 91360
(636) 778-2900 - 36 Old Kings Hwy S Ste 105
Darien, CT 06820
(636) 778-2900 - 1875 Veterans Park Dr Ste 2201
Naples, FL 34109
(239) 631-1960 - 1575 Lookout Dr
North Mankato, MN 56003
(636) 778-2900 - 2807 W Broadway Ste 107
Columbia, MO 65203
(636) 778-2900 - 3852 Creamery Rd
DE Pere, WI 54115
(636) 778-2900 - 516 E State Road 32
Westfield, IN 46074
(636) 778-2900 - 160 Westmount Dr
Farmington, MO 63640
(636) 778-2900
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- LC1262307
- License State
- MO
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2202148
- Facility Type
- Physician Office
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- LUGA PODESTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bluetail Medical Group, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285986398, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285986398, enumerated as an "organization" on October 12, 2012.
The provider is located at 13353 OLIVE BLVD CHESTERFIELD, MO 63017 and the phone number is (636) 778-2900.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
